Handbook Of Informatics for Nurses & Healthcare Professionals 5th Edition by Toni Lee Hebda – Test Bank

Chapter 11
Question 1
Type: MCSA
It has been determined from previous experience that eight hours is the minimum time necessary for staff nurses to obtain initial training on the new system. Which of the following is the best way to schedule this training?
1. One eight-hour session is offered six weeks prior to go-live, where employees drop in when they are caught up with work assignments.
2. Eight one-hour sessions are scheduled one month prior to go-live, starting immediately after the employee’s shift has ended.
3. Four two-hour sessions are scheduled three months prior to go-live during non-scheduled work time.
4. Two four-hour sessions are offered one month before go-live during non-scheduled work time.
Correct Answer: 4
Rationale 1: The correct answer is “two four-hour sessions are offered one month before go-live during non-scheduled work time.” Training is best when done within one month of go-live and offered at times when the employees are off work. Otherwise, they may be too tired or stressed to obtain the information. For eight hours of training, two four-hour sessions are preferred.
Rationale 2: The correct answer is “two four-hour sessions are offered one month before go-live, during non-scheduled work time.” Training is best when done within one month of go-live and offered at times when the employees are off work. Otherwise, they may be too tired or stressed to obtain the information. For eight hours of training, two four-hour sessions are preferred.
Rationale 3: The correct answer is “two four-hour sessions are offered one month before go-live, during non-scheduled work time.” Training is best when done within one month of go-live and offered at times when the employees are off work. Otherwise, they may be too tired or stressed to obtain the information. For eight hours of training, two four-hour sessions are preferred.
Rationale 4: Two four-hour sessions are offered one month before go-live, during non-scheduled work time. Training is best when done within one month of go-live and offered at times when the employees are off work. Otherwise, they may be too tired or stressed to obtain the information. For eight hours of training, two four-hour sessions are preferred.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome:

Question 2
Type: MCSA
Which of the following provides the most effective end-user learning experience?
1. Real client data are utilized for realistic practice.
2. The equipment used for training is the same used in the clinical setting.
3. Two employees share each workstation for mutual encouragement.
4. The live system is used with simulated client data.
Correct Answer: 2
Rationale 1: The correct answer is “the equipment used for training is the same used in the clinical setting.” Ideally, individual user training should be done on the same equipment that will be seen in the clinical setting. If the live system is used, data may be altered and confidentiality of client information may be compromised.
Rationale 2: Ideally, individual user training should be done on the same equipment that will be seen in the clinical setting. If the live system is used, data may be altered and confidentiality of client information may be compromised.
Rationale 3: The correct answer is “the equipment used for training is the same used in the clinical setting.” Ideally, individual user training should be done on the same equipment that will be seen in the clinical setting. If the live system is used, data may be altered and confidentiality of client information may be compromised.
Rationale 4: The correct answer is “the equipment used for training is the same used in the clinical setting”. Ideally, individual user training should be done on the same equipment that will be seen in the clinical setting. If the live system is used, data may be altered and confidentiality of client information may be compromised.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Teaching and Learning
Learning Outcome:

Question 3
Type: MCSA
A proficiency examination is planned to ensure that employees have the requisite knowledge to use a new wireless system. Which statement indicates the best use of testing?
1. Testing is criterion-referenced to evaluate predetermined system competencies.
2. Computer testing is done using a multiple-choice question format.
3. Predetermined competencies are determined by comparing class averages.
4. Norm-referenced testing is used to ensure the most successful employees keep their position.
Correct Answer: 1
Rationale 1: The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees.
Rationale 2: The correct answer is “testing is criterion-referenced to evaluate predetermined system competencies.” The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees.
Rationale 3: The correct answer is “testing is criterion-referenced to evaluate predetermined system competencies.” The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees.
Rationale 4: The correct answer is “testing is criterion-referenced to evaluate predetermined system competencies.” The most effective testing is criterion-referenced with predetermined competencies, not comparing results among employees. Norm-referenced testing is useful in competitive hiring situations where there are more applicants than positions available. However, this type of testing is not typically used for information system training.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome:

Question 4
Type: MCSA
How should health care student training most efficiently be handled by an institution?
1. Each nursing student receives the same amount of training as the staff nurse on the unit.
2. Practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care.
3. Students must be trained to provide appropriate clinical information to an assigned staff nurse, who will document client care in the system.
4. Students assess and document client care and medication administration by giving their information to the clinical instructor to input into the system.
Correct Answer: 2
Rationale 1: The correct answer is “practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care.” It is most cost-effective to use preexisting user classes for students at a similar end-user level.
Rationale 2: It is most cost-effective to use preexisting user classes for students at a similar end-user level.
Rationale 3: The correct answer is “practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care.” It is most cost-effective to use preexisting user classes for students at a similar end-user level.
Rationale 4: The correct answer is “practical or vocational nursing students are placed in the user class with LPNs or LVNs to access information and document client care.” It is most cost-effective to use preexisting user classes for students at a similar end-user level.
Global Rationale:

Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Teaching and Learning
Learning Outcome:

Question 5
Type: MCMA
The training of students often takes the same amount of time and resources as employee training. Which of the following are the most appropriate uses of the computer system for a nursing student assigned to a cardiac unit?
Standard Text: Select all that apply.
1. Order lab tests
2. Document medication administration
3. Document client care
4. Document health assessment findings
5. View test results
Correct Answer: 3,4,5
Rationale 1: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system.
Rationale 2: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system.
Rationale 3: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system.
Rationale 4: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system
Rationale 5: Students need to be able to review a client chart, view test results, complete assessments, and document findings in the information system.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Teaching and Learning
Learning Outcome:

Question 6
Type: MCMA
Which of the following statements regarding computer-based training (CBT) are true?
Standard Text: Select all that apply.
1. The accompanying materials require little trainer attention beforehand.
2. Retention is enhanced because technology is used to teach technology.
3. CBT facilitates mastery learning.
4. Vendor-supplied materials require no specific customization.
5. CBT is less costly to develop and revise.
Correct Answer: 2,3
Rationale 1: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized.
Rationale 2: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized.
Rationale 3: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized.
Rationale 4: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized.
Rationale 5: The correct answers are: retention of the material is enhanced because technology is used to teach technology, and mastery learning is facilitated. CBT is time and labor intensive to develop and revise; its materials require great trainer attention beforehand, and vendor-supplied materials are seldom useful unless they are customized.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Teaching and Learning
Learning Outcome:

Question 7
Type: MCSA
Which form of training would best fit the needs of a night shift worker (11 p.m. to 7 a.m.)?
1. An online tutorial that can be accessed when it fits worker’s time off
2. A Listserv set up for e-mail comments and questions
3. A three-hour video that can be run during the worker’s shift
4. A full-day workshop that starts shortly after the end of the shift
Correct Answer: 1
Rationale 1: Online tutorials are available 24/7 and allow immediate application of learning. The correct answer is an online tutorial that can be accessed when it fits the worker’s schedule. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends.
Rationale 2: The correct answer is an online tutorial that can be accessed when it fits the worker’s schedule. Online tutorials are available 24/7 and allow immediate application of learning. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends.
Rationale 3: The correct answer is an online tutorial that can be accessed when it fits the worker’s schedule. Online tutorials are available 24/7 and allow immediate application of learning. Listservs via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends.
Rationale 4: The correct answer is an online tutorial that can be accessed when it fits the worker’s schedule. Online tutorials are available 24/7 and allow immediate application of learning. Listserv via e-mail are too slow for training; videos are not interactive; and workshops should be scheduled for times when the employee is off duty and rested, ready to learn, not just as a shift ends.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Teaching and Learning
Learning Outcome:

Question 8
Type: MCSA
Which statement regarding the training approach is true?
1. Users may choose online multimedia or online tutorials to enhance retention.
2. Computer-based training should be used whenever data entry is required.
3. Blended learning is popular because it is appropriate for almost any content need.
4. Instructor-led training is still the best approach even though it is now less prevalent.
Correct Answer: 1
Rationale 1: Users may choose online multimedia or online tutorials to enhance retention. Computers can be used to input data without the instruction being computer-based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization’s network must be able to support electronic training delivery.
Rationale 2: The correct answer is “users may choose online multimedia or online tutorials to enhance retention.” Computers can be used to input data without the instruction being computer-based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization’s network must be able to support electronic training delivery.
Rationale 3: The correct answer is “users may choose online multimedia or online tutorials to enhance retention.” Computers can be used to input data without the instruction being computer-based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization’s network must be able to support electronic training delivery.
Rationale 4: The correct answer is “users may choose online multimedia or online tutorials to enhance retention.” Computers can be used to input data without the instruction being computer-based. Instructor-led training is actually the most popular but not necessarily the best. Blended learning is not appropriate for all types of content and the organization’s network must be able to support electronic training delivery.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Teaching and Learning
Learning Outcome:

Question 9
Type: MCMA
The most essential knowledge for a staff nurse end-user are which of the following?
Standard Text: Select all that apply.
1. Basic equipment troubleshooting procedures
2. Backing up the computer system at the end of each shift
3. Error message content recognition
4. Protocol for dealing with system “freezes” and “crashes”
5. Data entry error log review
Correct Answer: 1,3,4
Rationale 1: The correct answers are: “basic equipment troubleshooting procedures”; “error message content recognition”; “and protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst.
Rationale 2: The correct answers are: “basic equipment troubleshooting procedures”; “error message content recognition”; and “protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst.
Rationale 3: The correct answers are: “basic equipment troubleshooting procedures”; “error message content recognition”; and “protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst.
Rationale 4: The correct answers are: “basic equipment troubleshooting procedures”; “error message content recognition”; and “protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst.
Rationale 5: The correct answers are: “basic equipment troubleshooting procedures”; “error message content recognition”; and “protocol for dealing with system ‘freezes’ and ‘crashes.’” The system administrator, not the staff, should back up the system; data entry error logs are reviewed by the systems analyst.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Teaching and Learning
Learning Outcome:

Question 10
Type: MCMA
Among the following computer-related policies, which of the following are appropriate?
Standard Text: Select all that apply.
1. A nursing student shared confidential lab results obtained from the system at the request of one of the student’s relatives. The policy is to dismiss the student from the clinical site.
2. Both students and employees sign documents that explain the consequence of termination for misuse of the system.
3. Access codes are assigned to authenticate each individual user’s identity and may not be shared with anyone.
4. A radiology student makes a copy of a client’s MRI report to prepare for the next days clinical. The copy is accidentally left in the waiting room and found by a staff member. The policy is to dismiss the student from the clinical site.
5. Once trained and entered into the system, employees may sign other users in under their access code for documentation purposes when necessary.
Correct Answer: 1,2,3,4
Rationale 1: Appropriate policies are: Access codes are assigned to authenticate each individual user’s identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student’s faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason.
Rationale 2: Appropriate policies are: Access codes are assigned to authenticate each individual user’s identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student’s faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason.
Rationale 3: Appropriate policies are: Access codes are assigned to authenticate each individual user’s identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student’s faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason.
Rationale 4: Appropriate policies are: Access codes are assigned to authenticate each individual user’s identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student’s faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason.
Rationale 5: Appropriate policies are: Access codes are assigned to authenticate each individual user’s identity and may not be shared with anyone (not even staff members or administrators); both students and employees sign documents that explain the consequence of termination for misuse of the system; two students are dismissed from the site for breaches of confidentiality and the inappropriate use of data within the information/paper system. It is also possible that legal action may follow. Each student’s faculty should be notified and each school will review its own penalties. Students should never share confidential PHI with any unauthorized person and documents such as the MRI report should be properly disposed of. An inappropriate policy is: Allowing employees to sign other users in under their access code; this is never acceptable for any reason.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Teaching and Learning
Learning Outcome: